About: Porcine small intestina submucosa (SIS) graft for reconstruction of anterior urethral strictures     Goto   Sponge   NotDistinct   Permalink

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  • www.urol.cz
Description
  • Purpose: We evaluated porcine small intestinal submucosa (SIS) used in the treatment for inflammatory, iatrogenic, posttraumatic and idiopatic strictures of bulbar and penile urethra. Mid-term maintenance of urethral patency was assessed. Materials and Methods: In total of 50 patients 45-73 old with anterior urethral stricture underwent urethroplasty using porcine SIS collagen based matrix for urethral reconstruction. Stricture was localized in bulbar urethra in 10 patients, in bulbopenile in 31 and 9 patients had stricture in the distal penile urethra. All patients received four layered SIS patch graft in onlay fashion. A voiding history, IPSS, retrograde and antegrade urethrography, uroflowmetry and cystoscopy were performed preoperatively and postoperatively. Failure was defined as stricture confirmed on urethrogram. Results: After a mean follow up period of 31,2 months (range 24-36 months), the clinical, radiological and cosmetic findings were excellent in 40 (80%) of the fifty patients treated
  • Purpose: We evaluated porcine small intestinal submucosa (SIS) used in the treatment for inflammatory, iatrogenic, posttraumatic and idiopatic strictures of bulbar and penile urethra. Mid-term maintenance of urethral patency was assessed. Materials and Methods: In total of 50 patients 45-73 old with anterior urethral stricture underwent urethroplasty using porcine SIS collagen based matrix for urethral reconstruction. Stricture was localized in bulbar urethra in 10 patients, in bulbopenile in 31 and 9 patients had stricture in the distal penile urethra. All patients received four layered SIS patch graft in onlay fashion. A voiding history, IPSS, retrograde and antegrade urethrography, uroflowmetry and cystoscopy were performed preoperatively and postoperatively. Failure was defined as stricture confirmed on urethrogram. Results: After a mean follow up period of 31,2 months (range 24-36 months), the clinical, radiological and cosmetic findings were excellent in 40 (80%) of the fifty patients treated (en)
  • Cíle: Vhodnou operační metodou na striktury přední uretry, které jsou příliš dlouhé na excizi a reanastomozu, je substituční uretroplastika volným graftem nebo stopkatým kožním lalokem. Další možností je použití allo či xenograftu. Autoři hodnotí zkušenost s porcinní acelulární kolagenní matrix (SIS) při operační léčbě striktur močové trubice. Metody: V říjnu 2003 - prosinci 2004 jsme provedli rekonstrukci močové trubice pomocí 4-vrstvé SIS u 50 mužů ve věku 28-74 let (průměr 51,9 let). Matrix je komerčně dostupná - SURGISIS SLH 4S, Cook Urological Inc. Doba sledování byla 16-32 měsíců (průměr 25,9). Bylo hodnoceno IPSS a UFM křivka každé 3 měsíce. Uretrografie byla provedena každý rok, při Qmax < 15 ml/s nebo IPSS > 7 ihned. Recidiva striktury byla definována jako stenóza při uretrografii. Výsledky: Rekonstrukce byla úspěšná u 40 (80%) pacientů, recidiva se vyvinula u 10 (20%) pacientů. Všechny recidivy se vyvinuly časně - od 2 do 6 měsíců po operaci, u 4 pacientů na proximálním konci matrix (cs)
Title
  • Porcine small intestina submucosa (SIS) graft for reconstruction of anterior urethral strictures
  • Porcine small intestina submucosa (SIS) graft for reconstruction of anterior urethral strictures (en)
  • POUŽITÍ SUBMUKÓZY TENKÉHO STŘEVA (SIS) PŘI LÉČBĚ URETRÁLNÍCH STRIKTUR (cs)
skos:prefLabel
  • Porcine small intestina submucosa (SIS) graft for reconstruction of anterior urethral strictures
  • Porcine small intestina submucosa (SIS) graft for reconstruction of anterior urethral strictures (en)
  • POUŽITÍ SUBMUKÓZY TENKÉHO STŘEVA (SIS) PŘI LÉČBĚ URETRÁLNÍCH STRIKTUR (cs)
skos:notation
  • RIV/61989592:15110/06:00003169!RIV07-MZ0-15110___
http://linked.open...avai/riv/aktivita
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  • P(NR7764)
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
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http://linked.open...iv/duvernostUdaju
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  • 492987
http://linked.open...ai/riv/idVysledku
  • RIV/61989592:15110/06:00003169
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Urethral strictures; urethroplasty; SIS matrix (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...i/riv/kodPristupu
http://linked.open...ontrolniKodProRIV
  • [F0BBE94EBD61]
http://linked.open...telVyzkumneZpravy
  • Urologická klinika Olomouc
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...iv/tvurceVysledku
  • Vidlář, Aleš
  • Študent, Vladimír
  • Belej, Kamil
  • Vrtal, Radovan
  • Fiala, Richard
http://localhost/t...ganizacniJednotka
  • 15110
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